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Individual

JAMIE LYNNE DUBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5501 MARVIN SHIELDS BLVD, GULFPORT, MS 39501-9007
(228) 822-5792
(228) 871-2135
Mailing address
5501 MARVIN SHIELDS BLVD, GULFPORT, MS 39501-9007
(228) 822-5792
(228) 871-2135

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/17/2012
Last updated
09/17/2012
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